Your institution is subscribed to Read Institutional Edition. Log in or Sign Up to read full text articles.

JOURNAL ARTICLE

Management of major thromboembolic complications of umbilical artery catheters

J A O'Neill, W W Neblett, M L Born
Journal of Pediatric Surgery 1981, 16 (6): 972-8
7338782
Over the last 9 yr approximately 4000 infants have had physiologic monitoring with UAC at Vanderbilt University Medical Center. A larger number of them had minor ischemic complications prompting removal of the catheter, but 41 patients had major thromboembolic problems requiring varying degrees of surgical management. The place of surgery is clear in patients with catheter emboli or bleeding due to vascular avulsion related to catheter removal. Patients with arterial occlusion distal to the femoral artery may be treated expectantly although significant skin loss may occur. Occlusions at the femoral level allow limb survival, but the long-term outlook is not known; perhaps these patients may better be subjected to femoral thrombectomy in the future. Peripheral pulses are not normal early and Doppler studies suggest that collateral circulation is responsible for limb survival. Whether this will be sufficient to support adequate limb growth and function remains to be seen. Patients with signs of aortoiliac or mesenteric occlusion should be rapidly investigated and operated upon if survival is to be obtained. This study suggests that an aggressive surgical approach is in order. Computer-assisted radionuclide flow studies are helpful in diagnosing major aortic occlusion, as well as for followup.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
7338782
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.